JACKIE SPAIN NPI 1497210561

NPI Information

NPI: 1497210561
Provider Name: JACKIE SPAIN
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
5749 WESTGATE DR STE 102
ORLANDO, FL
ZIP 32835
Phone: (321) 441-1030
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Jackie Spain is a counselor in Orlando, FL. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jackie Spain NPI is 1497210561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5749 WESTGATE DR STE 102
ORLANDO, FL
ZIP 32835-040
Phone: (321) 441-1030

The enumeration date for this NPI number is 2/4/2019 and was last updated on 6/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		17518	FLORIDA	Yes
2	101YM0800X	Counselor	Mental Health	17518	FLORIDA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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